Individual
MR. MICHAEL JAMES SUMMITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
747 E COUNTY LINE RD, STE. B, GREENWOOD, IN 46143-1081
(317) 789-9600
Mailing address
747 E COUNTY LINE RD, STE. B, GREENWOOD, IN 46143-1081
(317) 789-9600
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10001150A
IN
Other
Enumeration date
10/26/2009
Last updated
12/11/2016
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